NPIMap

Organization Active NPI

San Joaquin County Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1881048270
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967
Phone
(209) 953-8843
Fax
(209) 953-8478
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Marie Lee, LMFT
Title
MH Clinician III
Phone
(209) 953-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967

Mailing address

4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967
Phone (209) 953-8843

National Provider Directory

National Provider Directory

Locations

4422 N Pershing Ave
Ste D2
Stockton, CA 95207
Phone (209) 468-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1881048270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N PERSHING AVE STE D2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076967",
            "telephone_number": "209-953-8843",
            "fax_number": "209-953-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N PERSHING AVE STE D2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076967",
            "telephone_number": "209-953-8843",
            "fax_number": "209-953-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MH CLINICIAN III",
        "authorized_official_telephone_number": "209-953-8843",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.